Individual
SISIRA KUMARA ANDRAHENNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33960
OK
207L00000X
Anesthesiology Physician
C1-0006402
DE
207L00000X
Anesthesiology Physician
Primary
MD071641L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001811218
—
PA
05
—
1093791147
—
DE
05
—
8856702
—
NJ
01
—
P00691982
RAILROAD MEDICARE
PA
01
—
P00918738
RAILROAD MEDICARE
DE
Enumeration date
12/21/2005
Last updated
04/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us